SAVANNAH ROSE RUCKER
Specialist/Technologist (Athletic Trainer)

Address: 4910 Directors Pl Ste 350, San Diego, CA 92121-3834

SAVANNAH ROSE RUCKER (NPI# 1215518501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215518501
Entity Type Individual
Full Name SAVANNAH ROSE RUCKER
Gender Female
Credential ATC, OTC
Practice Address 4910 Directors Pl Ste 350
San Diego
CA 92121-3834
Practice Telephone 8584537364
Practice Fax Number 8584537314
Mailing Address 4357 Vetter Pl
La Mesa
CA 91942-5909
Mailing Telephone 6199978095
Certification Date 2021-04-18
Enumeration Date 2021-04-18
Last Update Date 2021-04-18
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Locations

Address Telephone Number Fax Number
4357 Vetter Pl, La Mesa, CA 919425909 6199978095

Office Location

Street Address 4910 DIRECTORS PL STE 350
City SAN DIEGO
State CA
Zip Code 92121-3834

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548781727 Kathleen Thornber Specialist/Technologist, Other - Orthopedic Assistant 4910 Directors Pl Ste 350, San Diego, CA 92121-3834 2017-06-28
1225402746 David Maimes Physician Assistant 4910 Directors Pl Ste 350, San Diego, CA 92121-3834 2015-11-20
1376838680 John Grotting Orthopaedic Surgery 4910 Directors Pl Ste 350, San Diego, CA 92121-3834 2011-06-15
1740501907 Christopher L Sherman Do - A Professional Medical Corporation Orthopaedic Surgery 4910 Directors Pl Ste 350, San Diego, CA 92121 2010-06-22
1639234826 Christopher Louis Sherman Orthopaedic Surgery 4910 Directors Pl Ste 350, San Diego, CA 92121-3834 2006-12-27
1629092473 Tal David · Tal Samuel David Orthopaedic Surgery - Sports Medicine 4910 Directors Pl Ste 350, San Diego, CA 92121-3834 2006-07-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184785016 Lan Nguyen Orthopaedic Surgery 4910 Directors Pl, Ste 350, San Diego, CA 92121-3834 2006-12-13

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1568055036 Georgina Louise Parfitt Behavior Technician Behavioral Health Works, 5755 Oberlin Drive Suite 300, San Diego, CA 92121 2021-02-16
1740871979 Casa Palmera Care Center, Inc. Substance Abuse Rehabilitation Facility 6305 Lusk Blvd, San Diego, CA 92121 2021-01-31
1720681216 Discovery Health Holdings Corp Clinical Medical Laboratory 5830 Oberlin Dr. Suite 204, San Diego, CA 92121 2020-11-18
1225644917 Anna Hand · Anna Brodzki Physical Therapist 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 2020-09-18
1972138030 Lamarr Joyner Licensed Vocational Nurse 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 2020-03-10
1396383212 La Jolla Professional Plastic Surgery Plastic Surgery 4510 Executive Dr. Suite 105, San Diego, CA 92121 2019-12-11
1841852472 Unmanned Systems Operations Group · Usog Air Carrier 4655 Executive Dr., Suite 700, San Diego, CA 92121 2019-07-03
1861051922 Grace Getchell Behavior Technician 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 2019-06-11
1609432244 Ramon Hernandez Behavior Technician 3978 Sorrento Valley Blvd., Ste 100, San Diego, CA 92121 2019-05-18
1720643299 Megan Jean Bathen Behavior Technician Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 2019-05-09
Find all providers in zip 92121

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215512579 Tatiana De La Mora Specialist/Technologist - Athletic Trainer 3900 Lomaland Dr, San Diego, CA 92106-2899 2021-03-17
1013506476 Erin Garske Specialist/Technologist - Athletic Trainer 7130 Miramar Rd Ste 400, San Diego, CA 92121-2340 2021-01-11
1437745254 Brandon Mitchell Medrano Specialist/Technologist - Athletic Trainer 914 Picador Blvd, San Diego, CA 92154-2317 2020-12-16
1922602648 Jessica Kelli Lew Specialist/Technologist - Athletic Trainer 5667 Montezuma Rd Apt F, San Diego, CA 92115-2319 2020-11-23
1043813678 Kevin Lee Bravo Specialist/Technologist - Athletic Trainer 7130 Miramar Rd, San Diego, CA 92121-2353 2020-11-17
1982206538 Jayme Lorane Jenkins Specialist/Technologist - Athletic Trainer 1400 Park Blvd, San Diego, CA 92101-4721 2020-11-09
1215540075 Brianna Paige Corallo Specialist/Technologist - Athletic Trainer 4453 Carling Dr, San Diego, CA 92115-5527 2020-08-30
1518578954 Mina Markley Castleman Specialist/Technologist - Athletic Trainer 3864 35th St Apt 12, San Diego, CA 92104-3162 2020-08-10
1518575661 Jason William Switzer Specialist/Technologist - Athletic Trainer 3328 6th Ave, San Diego, CA 92103-5706 2020-07-15
1346858461 Eduardo Alberto Gallardo Ziramba Specialist/Technologist - Athletic Trainer 3142 Ingelow St, San Diego, CA 92106-2222 2020-07-14
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92121

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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